| Maria C Molina, MD | |
| 860 S White Horse Pike, Hammonton, NJ 08037-2018 | |
| (609) 567-0200 | |
| (609) 567-1951 | 
| Full Name | Maria C Molina | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Adolescent Medicine | 
| Location | 860 S White Horse Pike, Hammonton, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144279571 | NPI | - | NPPES | 
| 6780105 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 25MA06273100 (New Jersey) | Primary | 
| Entity Name | Southern Jersey Family Medical Centers, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568473973 PECOS PAC ID: 0547170763 Enrollment ID: O20040917000774 | 
| Entity Name | Act On Total Health Medical Group, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952992455 PECOS PAC ID: 6608284674 Enrollment ID: O20210413001435 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maria C Molina, MD Po Box 1309, Marlton, NJ 08053-6309 Ph: (609) 567-0200 | Maria C Molina, MD 860 S White Horse Pike, Hammonton, NJ 08037-2018 Ph: (609) 567-0200 | 
| Dr. Lisa Diane Urban, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 860 S White Horse Pike, Hammonton, NJ 08037 Phone: 609-567-0200 Fax: 609-567-1951 | |
| Dr. Nisrin Q Dahodwala, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 290 N White Horse Pike, Hammonton, NJ 08037 Phone: 609-567-7882 Fax: 609-567-3000 | |
| Bruce M Klein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 860 S White Horse Pike, Hammonton, NJ 08037 Phone: 609-567-0200 Fax: 609-704-1482 | |
| Dr. Dominic Chionglo Sia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 S White Horse Pike, Hammonton, NJ 08037 Phone: 609-567-0608 |